Individual
LANCIA K LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BGS
Contact information
Practice address
655 E MAIN ST, PERU, IN 46970-2662
(765) 472-1931
(765) 472-1945
Mailing address
655 E MAIN ST, PERU, IN 46970-2662
(765) 472-1931
(765) 472-1945
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/19/2008
Last updated
04/19/2008
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